| Chester Creek Dental | |
|
1324 E 1st St Duluth MN 55805-2403 | |
| (218) 724-1332 | |
| (218) 724-2184 |
| Full Name | Chester Creek Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1324 E 1st St, Duluth, Minnesota |
| Authorized Official Name and Position | William Jay Bellamy (GENERAL PARTNER) |
| Authorized Official Contact | 2187241332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Creek Dental 1324 E 1st St Duluth MN 55805-2403 Ph: (218) 724-1332 | Chester Creek Dental 1324 E 1st St Duluth MN 55805-2403 Ph: (218) 724-1332 |
| NPI Number | 1154473189 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154473189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D9789 D9795 (Minnesota) | Primary |
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